Organization
MOODY OPTICAL CO. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONDA CAROL MOODY-MCCARTHY D.O. (OPTICIAN)
(508) 881-4800
Entity
Organization
Contact information
Practice address
25 W UNION ST, ASHLAND, MA 01721-1465
(508) 881-4800
(508) 881-7806
Mailing address
25 W UNION ST, ASHLAND, MA 01721-1465
(508) 881-4800
(508) 881-7806
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1955
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1599062
—
MA
Enumeration date
02/28/2008
Last updated
02/28/2008
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